HomeMy WebLinkAboutZ-41825 Town of Southold
�Q�SUFF�t,��OGy 2/26/2021
53095 Main Rd
Southold,New York 11971
o
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 41825 Date: 2/23/2021
THIS CERTIFIES that the structure(s)located at: 695 Rogers Rd., Southold
SCTM#: 473889 See/Block/Lot: 66.-242
Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements for a built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 41825
dated 2/23/2021 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
wood frame one family dwelling with attached garage and outdoor shower stall.*
Notes: BP 8301 addition to dwelling COZ-7543; BP 45522"as built"alterations COZ-41823.
The certificate is issued to Graham, Edward
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT. 4-sa
,75-Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 695 Rogers Rd., Southold
SUFF.CO.TAX MAP NO.: 66.-2-42 SUBDIVISION:
NAME OF OWNER(S): Graham,Edward
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Graham,Edward DATE: 2/23/2021
DWELLING:
#STORIES: 2 #EXITS: 2
FOUNDATION: cement block CELLAR: 1/4 CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): 1 UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: yes GARAGE: attached
DOMESTIC HOTWATER: yes TYPE HEATER: indirect oil AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: HOT WATER: baseboard
#BEDROOMS: 4 #KITCHENS: 1 BASEMENT TYPE: unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 6/18/2020
TIME START: 2:30pm END: 3:20pm
� A
CONSENT TO INSPECTION
G- Y-O&�r(1 , the undersigned, do(es)hereby state:
Owner(s) Name(s)
That the undersigned(is) (are) the owner(s) of thepremises in the Town of
Southold, located at (1A 5 �. 60LA�Lrf d
which is shown and designated on the uffolk County Tax Map as District 1000,
Section Wo , Block_ cr�, , Lot J4 D-
That the undersigned(has) (have) filed, or cause to be filed, an application in the
Southold Town Buildin�Inspector's Office for the following:
l
That the undersigned do(es) hereby give consent to the Building Inspectors of the
Town of Southold to enter upon the above described property, including any and all
buildings located thereon, to conduct such inspections as they may deem necessary with
respect to the aforesaid application, including inspections to determine that said premises
comply with all of the laws, ordinances,rules and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the knowledge
and understanding that any information obtained in the conduct of such inspections may
be used in subsequent prosecutions for violations of the laws, ordinances, rules or
regulations of the Town of Southold.
Dated:
(SignI!e)&U W r Y"Gv'
(Print Name)
(Signature)
(Print Name)
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead.
5. Commercial building, industrial building,multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing"land uses:
1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy-New dwelling$50.00, Additions to dwelling$50.00;Alterations to dwelling$50.00,
Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy- $.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00
Date.
New Construction: Old or Pre-existing Building: (check one)
//��
Location of Property: Coq 4 lei' Rd Sc)Li 4-Ao/CJI
House No. I C-7-Street Hamlet
�
Owner or Owners of Property: EGVGS 02
Suffolk County Tax Map No 1000, Section ��a Block Lot oZ
Subdivision Filed Map_ Lot:
Permit No. Date of Permit. Applicant.
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
f�
Applicant Signat
,�,s� l
Y TOWN F SOUTHOL® PROPERTY' i 9/aWl"� �
OWNER STREETS VILLAGE DIST. SUB. LOTv f�
, mac!
FORMER OWNER N E AC.
F
dlAlQY^41A1,q l���r��1� CrOho,ri
( t S W TYPE OF BUILDING
it G I` 1^ f�o t2 `�,tet' ; "� L, 7�6 r Y IA64' w,
RES.- fp ; SEAS. i VL. FARM COMM. CB. MICS. Mkt. Value —
LAND IMP. TOTAL DATE REMARKS
��s ✓ o I Sia a z-s�F a�T - 185- v- f Ct ni (,gra Gla m N1 Ci
1
I
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
I---
FARM Acre Value Per Value
I Acre
i
Tillable ' FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD
Meadowland DEPTH
House Plot i BULKHEAD ^�
Tota � I DOCK
Ilk.
INNNN ONE
001
k ■■.L1_
M■.■�� � ■
0 ME 0 NONE ME ME
0 =no MET
M 0
MEN ...■ .til, �� � ■ ='
MEN 0.■.F�C� "��.�! ■.■0 M MEN
■ ME■ MENNO is 0 ■ ■r .■.
IN
■IisNN I nMEsN
0 M MOMERa
SMMMMMM MR'
�urh■. .■..
MEMMo N
OFF Interior Finish
Fire Pla ■
ce
Y-4—D Type Roof ooms St loor
,teation Room
m '^ 11"T'D gffi oij
DAT � 020 g.p,� ,j�� COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
FEE: �l w BY: �IbAS REQUIRED AND CONDITIONS OF OCCUPANCY O
765T1802 BUILDING
O DEPARTMENT4 PM FORTHE Lcnl TTuni n Tn1e1r i�o_� USE IS UNLAWFUL 0
FOLLOWING INSPECTIONS: s � � WITHOUT C E RT I F I C�:�`
1. FOUNDATION, - TWO REQUIRED w o
FOR POURED CONCRETE USTEES OF OCCUPANCY Z � Z
2. ROUGH - FRAMING & PLUMBING � o o
3. IN 3ULATION w
4. FINAL - CONSTRUCTION MUST (D N
B COMPLETE r -a 0. ELECTRI(;A�,
ALL CONSTRUCTION SnALL MEET THE 9+-6" a, 2'.2" 6'•0" 6'.2" INSPECTION REQUIRED
REQIJIREMENTS OF THE CODES OF NE
YOR STATE. NOT RESPONSIBL
DESIGN OR CONSTRUCTION ERROR -- 6"STEP ON.
Addiflonal
STORAGE C Celtification
mMUDROOM UNCONDITIONED °P OUTDOOR air Be Required® a
UNCONDITIONED
---- 61 SHOWER
71-4"FIN. r -
CLNG.
0 = X_..
0 W "
SITTING BATH LAUNDRY DINING LL N o
ROOM ROOM ROOM ROOM = LL 0
C1. o m
Lu a 0.0
co
0
1 PARTIAL.FIRST FLOOR PLAN (of NEW
DRAWN BY ZEN
t Q V
rLLJ
7 ?u NOV 17,2020
SCALE gyp'=1,-0.
��Or $1oNT� N SHEET NO
WMMY
• W
M S
Xr
W A
gg §vg
x
"14
'Al ��' t .c ::xht`'�'s�S...r��1 $ ;, �5,. ` '.i,'r���`�v�" ;�'�,y,, .T �';' `c2�y S� �-,s- ',j ..>,5 .,,z'"<'^2 (5•"�.: - ,'`4
W
"X0
.4w
`9- MN
X.
--lop
whiz
VP W4:g�,4-
to A,
"0 a
e-j
vary. WWWWW", er_�*�
p!
M
"ARE,
C-�
110;
w yt<�,-'J 0_1
IM
y NI-V
Koo, ,
A
01
7,
too,-Z,s
st
who
1A
ct62 0
t 71- S 0
"h` 'T w.ti ? ,•n j"' J' a i"'t•�`3'� 't � -7 4n Aln?ne 7;7-/
.'T� jtV1•5 / Or
H
OZ_2>1
Ocv4
ED,
w
ve
n, {txh e is z-A,Z�*
7C le • 4-lie .OR
IS 5 1 . 2XI nwmA,_
-qs
"alo /V&/ OP
'A 0
TT",
T
o��pE SO!/r,�ol
Town Hall Annex ~ Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 o sean.devlinl-town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Edward Graham
Address: 695 Rogers Rd City:Southold St: NY zip: 11971
Building Permit#: 45522 Section: 66 Block: 2 Lot: 42
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: AS BUILT License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service X
Commerical Outdoor X 1 st Floor X Pool
New Renovation X 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph 200A Heat Duplec Recpt 30 Ceiling Fixtures 10 Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 5 Wall Fixtures 6 Smoke Detectors 4
Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower 1 Range Recpt Ceiling Fan 3 Combo Smoke/CO 3
Transfer Switch UC Lights Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches 25 N LED Exit Fixtures Pump
Other Equipment: Mini Split AC
Notes: "AS BUILT NO VISUAL DEFECT "New Service,Transfer Switch and Rewiring of House
Inspector Signature: Date: December 9, 2020
S.Devlin-Cert Electrical Compliance Form.xls
oF souryo '�/�d ,�S
# # TOWN 07F.SOUTHOLD BUILDING DEPT.
°yrouxn _ 765-1802
INSPECTION
[ ] FOUNDATION-1ST. [ ] -ROUGH-PLBG:
[ ] FOUNDATION 2ND - [ ] INSULATION/CAULKING
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE &.CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RES STANT PENETRATION
[ ]_ELECTRICAL (ROUGH) [ ] E TRICAL (FINAL)
[ ] CODE VIOL ION [ PRE C/O
REMARKS S%% t �+nwb
�<< w �
py �cN re
r
DATE INSPECTOR
i
LOCATION: b4d,
(num er & street) (municipality)
SUBDIVISION: _ MAP-NO.: _ _ LOT(S): ,.
NAME OF OWNERS
OCCUPANCY: owtvivu Io
(type) (owner-tenant)-
ADMITTED BY: _ ACCOIVTPA.NIED BY:
KEY AVAILABLE: SUPT. 'CO. TAX MAP'N0. 1000. •�'). �"
SOURCE OF REQUEST; DATE:..JN1*G• too m :'
DWELLING
TYPE OF CONSTRUCTION: _ ,1UD ll 9 STO-I�TES:
1/, # EXIT 'S:
FOUNDATION: C�J�1 AS1ti1LN ': CRAW , SPACE:-
# OF BEDROOMS- IST FLR: —'� � 2ND FLR: 3AD FLA:
BATHR OM Sj: t TOILET AOOM(S): �?� UTILITY 00'M:
to, CH.TYPE: DECK, TYPE: PATIO;TYPE:
�
BREEZEWAY: FIREPLACE; GARAGE:
"V. � G
DOMESTIC HOTWATER: TYPE NEATER` I/ AIRCONNDITIONING.
TYPE HEAT:` �� FARM AIR: HOTWATER: . 17
f
# OF KITCHENS;
FINISHED BASEMENT:- YES NO
OTHER: g 1/
ACCESSORY STRUCTURES
GARAGE; TYPE OF CONST.; _ STORAGE,TYPE CONST.:
SWIMMING P'0-OL: CUEST,'TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER.144 &N.Y, STATE:UNIFORM F;RE PREV$NTION & BUILDING CODE
LOCATION DIaSCR,IP ION ART. SEC.
(RA"I&n 05:
0 0�
REMARKS:
oo"S �
INSPECTED BY. � v� a_ .1 S 1 DATE OF INSPECT ON:
TIME START; END: , • b
� Day "� ��`"
��
Vl